<font color="#000000" face="Times New Roman" size="3">

</font><p style="margin: 0in 0in 0pt;"><span style="mso-bookmark: Check1;"><a name="Check1"></a></span><font color="#000000" size="2">checkbox1</font></p><font color="#000000" face="Times New Roman" size="3">

</font><p style="margin: 0in 0in 0pt;"><span style="mso-bookmark: Check2;"><a name="Check2"></a></span><font color="#000000" size="2">checkbox2</font></p><font color="#000000" face="Times New Roman" size="3">

</font><p style="margin: 0in 0in 0pt;"><span style="mso-bookmark: Check3;"><a name="Check3"></a></span><font color="#000000" size="2">blah</font></p><font color="#000000" face="Times New Roman" size="3">

</font>